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TAMMY RENEE WHITE PHARM.D.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1801105424

Individual Registrant:
 TAMMY RENEE WHITE PHARM.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1309 NORTH LINCOLN AVE  STAR CITY, AR 71667 US
Tel: 870-628-5912  Fax: 870-628-6359

Contact information for business:
1309 NORTH LINCOLN AVE  STAR CITY, AR 71667 US
Tel: 870-628-5912  Fax: 870-628-6359

Registration Information:
NPI: 1801105424
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
ARAR08049

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ARKANSAS STATE BOARD OF PHARMACYAR08049AR01




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